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Medical Abortion clinical trials

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NCT ID: NCT05532085 Completed - Pain Clinical Trials

Assessment of Pain During an Abortion With Knowledge of the Predictive Factors of Pain.

Start date: June 12, 2020
Phase:
Study type: Observational

Two studies carried out in 2011 at the Center for Contraception and Voluntary Interruption of Pregnancy (CIVG) at the Louis-Mourier Hospital, evaluated the pain of patients undergoing an abortion, and looked for predictors of the pain felt during an abortion. medication or aspiration under local anesthesia. These predictive factors of pain are today integrated into the interview during a request for abortion at the CIVG of Louis-Mourier. This new study, on care data, prospective and monocentric conducted at the CIVG, of the Louis Mourier hospital, will make it possible to verify whether the knowledge of these predictive factors of pain has made it possible to improve the management of pain in women undergoing an abortion. The main objective is to assess the pain felt by the patient during a medical abortion or by aspiration under local anesthesia, knowing the predictive factors of pain highlighted by two studies carried out in 2011. The secondary objective is to highlight a significant difference in pain after application of an analgesic protocol indexed on predictive factors of pain. The study will be carried out in two successive periods: A first period of 4 months will consist in evaluating the pain felt by women having a medical abortion or by aspiration under local anesthesia. A second period of 4 months will evaluate the pain felt by women undergoing medical or aspiration abortion under local anesthesia following the application of an analgesic protocol indexed on the predictive factors of pain. The expected benefit of this study is the improvement of care and professional practices for better management of pain during outpatient abortion. The abortion will take place in the usual way according to the chosen method. An information and non-objection note will be distributed to patients during the first consultation for an abortion. Patients agreeing to participate in the study will answer the usual questions from the doctor or nurse. A data collection sheet related to care will be integrated into the medical records. The CIVG doctors taking part in the study will report the data collected on this form. The maximum pain felt during the abortion and in the following 4 days will be evaluated using an VAS according to usual practice.

NCT ID: NCT05119439 Terminated - Medical Abortion Clinical Trials

Mifepristone and Two Doses of Misoprostol for Abortion at 11&12 Weeks

Start date: October 7, 2022
Phase: Phase 4
Study type: Interventional

This study seeks to evaluate the efficacy, side effect profile and acceptability of a medical abortion regimen with mifepristone and two doses of 800 mcg misoprostol buccally at 71-77 and 78-84 days of gestation to further expand the evidence base for the most effective regimens in the late first trimester of pregnancy.

NCT ID: NCT04941443 Terminated - Pain Clinical Trials

Methadone and Medication Abortion

Start date: October 4, 2021
Phase: Phase 4
Study type: Interventional

Pain has been recognized to be the most common and predictable side effect of medication abortion, causing significant distress associated with the process. Yet there is little known about the appropriate management of pain during this process, with no current evidence based recommendations for optimal analgesic regimens during the first trimester. The goal of this study is to evaluate the efficacy of oral methadone for pain control during medication abortion. The current medication regimen used to perform medication abortion is a dose of mifepristone (antiprogesterone) orally, followed by a dose of misoprostol (prostaglandin analogue) 24 to 72 hours later. Patients are prescribed a standard dose of ibuprofen 600-800mg tabs for pain control during the process. The investigators will conduct a non-randomized, pilot study with 25 patients evaluated at the Boston Medical Center family planning clinic at 10 weeks of gestation or less for medication abortion.

NCT ID: NCT04905251 Recruiting - Medical Abortion Clinical Trials

Effectiveness and Safety of Combination Mifepristone/Misoprostol for Medical Abortion

MiMAC
Start date: February 22, 2022
Phase:
Study type: Observational

National multi-center non interventional study aiming at investigating the effectiveness and safety of the combination mifepristone-misoprostol prescribed in Canada to women for medical termination of pregnancy at or before 63 days gestational age through a multi-center prospective non interventional study design.

NCT ID: NCT04181541 Completed - Medical Abortion Clinical Trials

Midlevel Versus Physician-provided Medical Abortion in the Second Trimester

Start date: February 17, 2020
Phase: N/A
Study type: Interventional

The purpose of the study is to determine the safety and effectiveness of second trimester medical abortion when provided by nurse midwives compared with physicians. The study sample will be obtained from Michu Clinic, affiliated with St Paul's hospital, in Addis Ababa.

NCT ID: NCT03604341 Completed - Pain Clinical Trials

Cannabinoids for Pain Control During Medical Abortion

Start date: November 1, 2018
Phase: Phase 4
Study type: Interventional

The objective of this study is to determine if a synthetic cannabis derivative, dronabinol, in addition to ibuprofen, decreases maximum pain scores compared to ibuprofen and placebo in women undergoing medical abortion. Results of this study will help providers counsel patients regarding cannabis use during medical abortion.

NCT ID: NCT03148587 Completed - Medical Abortion Clinical Trials

Medical Abortion Self-Confirmation (MASC)

MASC
Start date: May 1, 2017
Phase: N/A
Study type: Interventional

This study aims to investigate the ability of participants to perform and accurately interpret the multi-level pregnancy test and the low sensitivity pregnancy test following medication abortion, without routine provider contact.

NCT ID: NCT03014193 Completed - Medical Abortion Clinical Trials

Simplifying First Trimester Medical Abortion Follow-up

Start date: January 2017
Phase: N/A
Study type: Observational

This study evaluates the usability of the multilevel pregnancy test among women undergoing medical abortion.

NCT ID: NCT02985229 Completed - Medical Abortion Clinical Trials

Acceptability and Feasibility of Medical Abortion in Singapore

Start date: October 2016
Phase: Phase 3
Study type: Interventional

To test the hypothesis that a regimen of 200 mg oral mifepristone, with the option of home administration, followed by 800 μg buccal misoprostol 24 hours later for abortion through 70 days LMP will be feasible and acceptable in Singapore.

NCT ID: NCT02745093 Not yet recruiting - Medical Abortion Clinical Trials

Medical Abortion at Gestational Age of 8 to ≤9 Weeks Versus >9 to ≤12 Weeks

Start date: September 2016
Phase: Phase 4
Study type: Interventional

The purpose of this study is to assess the effectiveness, safety, and acceptability of home-administered medical abortion at gestational age of 8 to ≤9 weeks versus >9 to ≤12 weeks among a cohort of women in Mexico City.